Active NPI
Matt Miller, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Talihina, OK
National Provider Identifier
1366716946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 14988
- Practice address
- 1 Choctaw Way
Talihina, OK 74571-2022 - Phone
- (918) 567-7000
- Fax
- (918) 567-7037
- NPI assigned
- Feb 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 14988 | OK | Primary |
Addresses
Primary practice location
1 Choctaw Way
Talihina, OK 74571-2022
Mailing address
1 Choctaw Way
Talihina, OK 74571-2022
Phone (918) 567-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14988 | OK | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1366716946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHOCTAW WAY",
"city": "TALIHINA",
"state": "OK",
"postal_code": "745712022",
"telephone_number": "918-567-7000",
"fax_number": "918-567-7037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHOCTAW WAY",
"city": "TALIHINA",
"state": "OK",
"postal_code": "745712022",
"telephone_number": "918-567-7000",
"fax_number": "918-567-7037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MATT",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-29",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OK",
"license": "14988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Talihina, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.